Lumbar Spinal Stenosis Treatment by Best Spine Surgeon In Gurgaon

Lumbar spinal stenosis is generally a condition of older age. It significantly reduces the quality of life. For evaluating the exact cause and best treatment option, the patient should consult the spine surgeon in Gurgaon.

What Is Lumbar Spinal Stenosis?

Lumbar vertebrae form the lower part of the spine. This section of the spine bears the weight of the body and improves flexibility and movement. The spine is formed by the association of various vertebrae. These vertebrae are arranged in such as fashion to form a tunnel known as the spinal canal. The spinal cord runs through this spinal canal. Spinal cord requires optimum width of this canal to smoothly go through it.

In some cases, this spinal canal becomes narrow leading to compression of the spinal cord. Though the spinal canal can get narrow at any place throughout the spinal canal, most often it gets narrowed in the lumbar region. This condition is termed as lumbar spinal stenosis. Spinal stenosis compresses the nerves that innervate the muscles.

What Are The Causes Of Lumbar Spinal Stenosis?

Following are some of the causes of lumbar spinal stenosis:

Tumors: Any abnormal growth inside the spinal canal may also cause spinal cord compression. These growths can be diagnosed through CT scan or MRI.

Thickened ligaments: Thickening and stiffing of the ligaments with time may cause spinal stenosis by bulging inside the spinal canal.

Bone overgrowth: Diseases such as Paget’s disease may cause bone overgrowth which may lead to spinal cord compression.

Herniated disk: Disk is the cushions present in between the vertebrae. These cushions, with age, ruptures and bulges into the spinal canal causing stenosis.

Spinal injuries: Spinal injury such as during accidents may cause vertebral dislocation which may alter the width of the spinal canal. Inflammation resulting from the spinal surgery also cause spinal stenosis.

Arthritis: Arthritis is one of the most common causes of spinal stenosis. Both osteoarthritis and rheumatoid arthritis may cause this condition. Arthritis also results in an increased size of ligaments that further reduces the space for the spinal cord.

What Are The Symptoms Of Lumbar Spinal Stenosis?

Some of the symptoms of lumbar spinal stenos  is include:

• Numbness and tingling sensation in legs.
• Weakness and cramping
• Reduced sexual functioning
• Moderate to severe pain in back
• Burning pain graduating from the buttocks to legs.
• Loss of control on bladder or bowel.
• Progressive pain
• Pain reduces during sitting or leaning forward
• “Foot drop” symptom

What Are The Risk Factors For Developing Lumbar Spinal Stenosis?

Following are some of the risk factors for spinal stenosis:

Age: Increasing age increases the risk of spinal stenosis. People over the age of 50 years generally suffer from this condition.

Underlying medical condition: Presence of various diseases such as Paget’s disease, osteoarthritis, and rheumatoid arthritis increases the risk of lumbar spinal stenosis.

History of spinal surgery: People who have the medical history of having spinal surgery at increased risk of developing spinal stenosis.

How Is Lumbar Spinal Stenosis Diagnosed?

Various diagnosed approaches are available for diagnosing spinal stenosis. These include:

Medical History: Neurologists will comprehensively evaluate the medical history by asking a various question related to the symptoms and if the patient has undergone spinal surgery in the past. 

CT scan: Through Computed Tomography, the internal area of the spinal canal is viewed for any growth or nerve compression. CT scan is done by combining various X-ray images taken from different angles.

MRI: MRI provides a cross-sectional view of the spinal canal. It helps in identifying damage to ligaments and tumor growth.

X-rays: X-rays reveals any bony overgrowth inside the spinal canal that may compress the spinal cord.

What Are The Treatment Options For Lumbar Spinal Stenosis?

Treatment options for lumbar spinal stenosis include both non-invasive and invasive methods.

Non-invasive methods of treatment for spinal stenosis include:

• Analgesic and anti-inflammatory medications
• Physical therapy
• Steroidal injections
• Lumbar traction
• Chiropractic manipulation
• Acupuncture
• Anti-depressants and anti-seizure drugs

Invasive methods for treating spinal stenosis are:

• Laminoplasty
• Laminectomy
• Laminotomy
• Spinal fusion
• Minimally invasive surgery

How To Prevent Lumbar Spinal Stenosis?

Although there is no way to completely prevent the occurrence of lumbar spinal stenosis the following few measures would certainly reduce its risk.

• Maintaining a healthy weight
• Proper sitting and sleeping posture
• Regular exercise

What Activities Should Be Avoided During Spinal Stenosis?

Following activities should be avoided to manage the symptoms of spinal stenosis:

• Lifting heavy weights
• Avoid standing or walking for a long period
• Avoid contact sports
• Avoid strenuous exercises

What Are The Complications Of Untreated Lumbar Spinal Stenosis?

If the symptoms of the spinal stenosis are not effectively managed and the condition remains untreated, this may lead to the following complications:

• Progressive pain, numbness, weakness and increased incidences of cramps
• Paralysis
• Urinary incontinence
• Poor coordination and balance

Understanding Spine Surgery by Spine Surgeon In Gurgaon

What is the spine?

The spine or vertebral column in the human body comprises of two components. The bony vertebrae, which forms almost a tunnel like structure, and the spinal cord that runs through it. Therefore it is this bony structure or vertebral column that surrounds the spinal cord, which almost like a protective cover, helping to prevent the spinal cord from getting damaged during trauma which does not cause breaking of this cover. There are 33 vertebrae in total, divided into segments known as the cervical spine, thoracic spine, lumbar spine, sacral spine and coccyx. Within the vertebral column, in-between these vertebrae, there is an intervertebral disc, which is a gel like substance that helps to act as a shock absorber and prevents the bodies of the vertebrae from rubbing against each other and causing pain.

The vertebral column in the human body therefore functions for three purposes, protection of the spinal cord, weight bearing and flexibility. And any damage to the bones of the spine or shifting of the intervertebral disc to either side within this column, will lead to an abnormality of the structure of the vertebral column, resulting most often in pain, because this abnormality is either compressing the nerves which are exiting the spine or compressing the spinal cord itself.

What problems can arise in the spine?

There a variety of problems which can arise in the spine, which may require you to see a specialist doctor, who only works with problems regarding the vertebral column and the spinal cord. This type of doctor is called a spine surgeon. Since the vertebral column, the spinal cord and the nerves that arise from the spinal cord, play a major role in determining how our body functions, it is important that you visit the best spine surgeon in Gurgaon, for medical advice, if you fear or suspect that you may be suffering from a problem which affects your spine.

Problems which arise in the spinal cord and vertebral column include:

• Infections of the bones of the vertebral column, or the layers which cover the spinal cord called the meninges.
• Fracture of the vertebrae which make up the vertebral column, either as a result of trauma or because of infections in the bone or bone tumors causing the bone to become weak and break off spontaneously.
• A slipped disc, which means that the gel like substance in between each vertebra has moved from its position right in the center to either side and is causing a narrowing within the vertebral canal which can lead to compression of the spinal cord and the nerves which are exiting the vertebral column at this point.
• Tumors of the spinal cord, although very rare can also be a problem for which you may require spine surgery.
• Those individuals who are suffering from spine deformities such as kyphosis and scoliosis, which are abnormalities regarding the curvature of the vertebral column, where there is increased curvature of the spine or an ‘S’ shaped curvature of the spine.

If you are suffering from any of the above mentioned problems, then it may mean that you need to get in touch with a spine surgeon in Gurgaon so that you can have it looked into in detail.

Symptoms of spinal cord problems:

People who are suffering problems in their spine can complain of a variety of symptoms. These include:

• Back pain, which can arise as a result of infections in the vertebrae, or compression of the spinal cord and the spinal nerves.
• They can experience sharp, radiating pain which travels along the back of the leg, a condition which is known as sciatica, and is a common problem which is diagnosed.
• Patients complain of numbness or tingling sensation which are present in their upper limbs as well as in the lower limbs which again can be the result of spinal cord or spinal nerve compression.
• Some people can even develop sudden onset paralysis in certain parts of their body, especially the upper and lower limbs which are more susceptible.
• It is also important to understand that the spinal nerves also play a role in innervating some of our internal organs such as our bowels and bladder. Therefore if there is any damage to these nerves people may experience loss of bowel and bladder control.

If you are suffering from any of these symptoms, it should prompt you to seek medical advice immediately, so that the correct management plan can be put in place and prevent the condition from progressing any further.

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Spine Surgaon In Gurgaon - Dealing With Problems Of The Spine

Understanding the anatomy:

The human body is structures in such a way that our back bone or vertebral column has a significant role to play in the determining how our body functions. This is because it is our vertebral column which helps us stand up straight while walking, helps us carry the weight of our head and shoulders, and helps us bend forward and so on. Therefore it plays a role in a number of functions without which we would find it almost close to impossible to function normally in our day to day lives. This is because the vertebral column helps our body with three main functions which include weight bearing, flexibility and last but not least protection of the spinal which runs through it.

The vertebral column can be thought of a bony canal, the center of which is hollow and houses the spinal cord, which a continuation of the human brain. We have in total 33 different vertebrae which come together in order to make this single column, which in turn protects the spinal cord. Depending on the region in which these vertebrae are found, they are named as cervical vertebrae, thoracic vertebrae, lumbar vertebrae and sacral vertebrae.

If we are to understand how the spine functions and what kind of problems arise from it, it is important for us to have a slight idea about its structure, so that any symptoms which indicates you are suffering from a problem in your spine will prompt you to seek help from a spine surgeon in Gurgaon immediately.

The symptoms of spinal conditions:

People who are suffering problems in their spine can complain of a variety of symptoms. These include:

• Back pain, which can arise as a result of infections in the vertebrae, or compression of the spinal cord and the spinal nerves.
• They can experience sharp, radiating pain which travels along the back of the leg, a condition which is known as sciatica, and is a common problem which is diagnosed.
• Patients complain of numbness or tingling sensation which are present in their upper limbs as well as in the lower limbs which again can be the result of spinal cord or spinal nerve compression.
• Some people can even develop sudden onset paralysis in certain parts of their body, especially the upper and lower limbs which are more susceptible.
• It is also important to understand that the spinal nerves also play a role in innervating some of our internal organs such as our bowels and bladder. Therefore if there is any damage to these nerves people may experience loss of bowel and bladder control.

The spinal consultation:

Just like a consultation for any other ailment, even your consultation with a spine surgeon in Gurgaon will start off with the doctor obtaining a detailed history of the problem you are suffering from. In this case it is very important that you are precise about your symptoms, its duration and how it has progressed with time. Because all of these play a role in determining how severe your problem might be. Once your doctor has obtained the detailed history he/she will move onto a thorough examination, which includes checking the movement and sensation in your all your limbs. After the examination is done, even though your doctor will have a fairly good idea about the condition you have, he/she will ask you to undergo some investigations such as imaging of the spine, including X-ray of the spine or CT/MRI scan of the spine, which will help them have a clear picture of what is happening.

These investigations will help them determine the severity of the problem and also help them plan the way forward, with regards to the management plan they will want to put you in.

Is spine surgery dangerous?

Although it is very rare that doctors suggest for a patient to undergo spine surgery, it may be that the severity of your condition is such that it requires a drastic measure like spine surgery. Because in most cases of spine problems, including mild fractures of the vertebrae, bed rest and limitation of movements help to overcome the problem. In some cases you may have to have strict bed rest for as long as a couple of months.

Just like any other surgery, elsewhere in the body, spine surgery also carries with it its share of risks, but in the hands of a good spine surgeon in Gurgaon, you will be able to minimize them.

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Spine Tumor Surgery In Gurgaon By Best Spine Surgeon In Gurgaon and Rohtak

The fundamentals of spinal tumors:

Spinal tumors are abnormal growth of cells in and around the spinal cord. Spinal tumors are commonly due to deposits of cancer cells from elsewhere in the body, secondary/metastatic tumors, rather than primary tumors which arise from the spinal tissue itself. These tumors can be of two types, benign or malignant.

Spinal tumors are classified according to the region where they are found such as cervical, thoracic, lumbar or sacral tumors as well as their location within the spine such as intradural-extra-medullary, intramedullary and extradural.

The most common types of intradural-extramedullary tumor to affect the adult population are meningiomas, neurofibromas and ependymomas. Of the intramedullary type, the most common tumors are gliomas, ependymomas and lipomas. The most common extradural tumors are usually secondary deposits from elsewhere in the body or they can be schwannomas.

Primary spinal tumors are very rare, and the incidence is only around one spinal tumor for every intracranial tumor which occurs.

The causes: Although the cause for many of the primary spinal tumors remain unknown, some tumors such as spinal cord lymphomas are thought to arise as a result of a compromised immune system. The presence of genetic conditions such as Neurofibromatosis 2 and Von Hippel-Lindau Syndrome has been associated with the development of spinal tumors.

When should I suspect that I have spinal cord tumor?

There a set of common symptoms, which patients who have been plagued by spinal tumors commonly complaint of. These include:

• Backache – which is by far the commonest symptom. Pain which is gradually increasing, worse at night and worsens with activity. If the tumor is compressing nerve roots, you may experience radiating pain shooting down your arms or legs, depending on the location.
• Tingling sensation or loss of sensation in your arms and legs
• Muscle weakness in the extremities
• Loss of bladder and bowel function
• Paralysis in certain areas of the body depending on the location of the tumor
• Deformities of the spine such as scoliosis

What are the treatment options available for spinal tumors?

Your treatment options for spine tumors include non-surgical methods and surgical methods. Non-surgical methods include radiotherapy and chemotherapy. Sometimes if the tumor has been found accidentally while investigating for other conditions, is still in its early stages and is not causing symptoms or disability, then watchful waiting, to see if it is growing bigger is also a form of treatment that some doctors may suggest. Because the risks of living with a tumor which is not growing outweighs the risks of undergoing surgery.

Radiation therapy is often used to treat metastatic spinal tumors or secondary deposits. It involves delivering doses of high energy radiation to those areas of the body affected by the tumor cells, in order to destroy the cells. The latest method of delivering radiation therapy uses an instrument called the cyber knife which uses a robotic arm in order to deliver focused high dose radiation to the spinal cord, and is thought to be extremely useful because of the flexibility of the arm, which makes it all the more precise.

Chemotherapy makes use of chemicals which are either taken orally or injected into a vein, which are then taken up by the tumor cells and causes slow destruction of these cells.

A variety of surgical methods are available for the treatment of spinal tumors. Which of these procedures a patient undergoes, will be decided by the doctor, depending on factors such as the type of spinal tumor the patient has, the exact location and size of it as well as patient factors such as the age and general health status of the patient. The different types of surgical procedures include:

• Laminectomy and Excision of Tumour – where the entire tumor or part of it is excised/removed along with part of the vertebral column in order to relieve the pressure on the spinal cord, because of which the spinal cord is being compressed and causing symptoms.
• Embolization – is a procedure which is most often used along with other techniques because it helps to shrink the tumor. It involves passing a catheter from the groin region to the blood vessels which supply the tumor and blocking these vessels using an embolic agent. This will cut off the blood supply to the tumor, prevent its growth, leading to a reduction in the size of the tumor.
• Spine stabilization surgery – which is used when your spine has become unstable because of the weakening of the vertebrae which make up the vertebral column, which houses the spinal cord. When the tumor has invaded the bone, the vertebrae can fracture and this requires stabilization using procedures such as kyphoplasty, vertebroplasty or the use of bone graft.
• Kyphoplasty or vertebroplasty – is the injection of bone cement into a fractured vertebra in order to make it stable. Spinal tumors which invade the bone make cause it weaken and break, and these bones then need to be stabilized using a bone like substitute.

How safe is surgery for spinal tumors?

Spinal surgery has evolved in more ways than one over the years. The advancement of technology and the availability of precision tools as well accurate imaging techniques, has led to development of unique surgical procedures which allow surgeons to access the spinal cord in less invasive ways than before. And even though there still is some risk involved with it, surgeons are able to keep it down to a minimum

As a result of which surgeons are able to perform more and more successful surgeries, which help the patients get back their quality of life. Because more than the risks involved with spinal surgery, the risks of opting out of surgery can be catastrophic to the patient, as it can end up with vertebral fractures and collapse, leading to spinal cord compression and even partial paralysis. So excision of the tumor at the right time is of utmost importance, and if you have the chance of getting rid of it once and for all, as is the case with benign tumors, then you couldn’t ask for more !

How different is spinal surgery from other surgeries performed?

All major surgeries will carry with them a certain amount of risk, because it involves general anesthesia, being unconscious for the duration of the surgery, an incision being made in your body and the insertion of instruments into your body. So any major surgery performed in any part of your body, will be a tough decision to make.

Spinal surgeries are different because they don’t involve a very large incision, and surgeons are always trying to make it as minimally invasive as possible, with the use of the most accurate tools making spinal surgeries much safer than they were in the days gone by. The risk of extensive bleeding which is present with other surgeries is minimal when compared to spinal surgeries because there are no major blood vessels which can easily be punctured during the surgery.

Since the symptoms of a spinal tumor can be very debilitating and distressing for the patient, more and more people are currently opting to undergo spinal tumour excision surgery, because they want to have a good quality of life.

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Skull Base Tumor Treatment In Rohtak

What are tumors of the skull base?

The base of the skull is that part of your head on which your brain lies. It is made of multiple bones which are fused together with sutures. It is a complex region of the brain, because all the blood vessels supplying the brain traverse through the base of the skull in order to reach the other parts of the brain. Even most of the critical nerves supplying the rest of the body pass through the base of the skull. From the outside, the base of the skull is somewhere in the region behind your eyes and nose. Therefore tumors which arise in this part of the head, require complex procedures which have to be done with extreme precision in order to obtain the desired results and prevent adverse consequences of surgery. Therefore you want someone with experience and adequate knowledge to handle the surgery for you, and Dr. Vikas Kathuria, the best neurosurgeon in Rohtak, is the person you want to go to. With vast experience and the skill of performing these complex procedures, he is well known as an expert in brain tumor surgery in Rohtak.

Are there different types of skull base tumors?

Yes, not all skull base tumors are the same, and they differ from one another in the basic way, which is whether it is a primary brain tumor, arising from the brain tissue itself, or if it is a secondary deposit from a tumor which has spread from elsewhere in the body. Furthermore, primary skull based tumors are also differentiated according to the type of brain tissue they arise from. For example the different types of brain tumors include, Chondrosarcoma, Chordoma, Schwannoma, Meningioma, Pituitary tumor, Glomus jugulare and Craniopharyngioma. Depending on the type of tumor, the size of the tumor and its precise location, the type of procedure done to remove it will vary.

How would I know that I have a skull base tumor?

There are certain symptoms which are common to all skull base tumors, they include:

• Nausea and vomiting
• Severe headache, which are frequent
• First-time seizures
• Drowsiness and altered levels of consciousness
• Dizziness
• Changes of voice and hoarseness and voice
• Hearing disturbances and even loss of hearing
• Tinnitus/ringing in the ears
• Difficulty with balance and coordination
• Speech difficulties
• Difficulty swallowing
• Facial pain
• Twitching, or paralysis of the facial muscles

It is not necessary that everyone who develops a skull base tumor, presents with the above mentioned symptoms. Most people will have only some of them. But if you have developed any of the above, mentioned symptoms, it should raise concern, and you should discuss this with your doctor.

There are also other symptoms which are specific and characteristic of certain types of skull base tumors. For example, a pituitary tumor has characteristic features which are not seen in any other type of skull base tumor, and they include:

• Rounding of the face
• Very tall stature
• Disproportionate face, hands and feet
• Joint pains
• Increased blood pleasure
• Easy bruising
• Presence of stretch marks
• Excessive sweating

What causes tumors of the skull base?

No specific cause has yet been identified for the development of these tumors. And they are thought to be multifactorial in origin. Certain factors such as exposure to particular types of chemicals, exposure to radiation and a strong family history of similar brain tumors have been associated with an increased risk of developing skull base tumors.

How is a skull base tumor diagnosed?

Diagnosis of this condition is made using a complete history and physical examination, which give your doctor clues regarding the condition you may be suffering from. But investigation such as imaging techniques remain the mainstay of diagnosing a skull base tumor. These investigations include:

• CT Scan
• MRI
• Dynamic MRI
• Functional MRI
• Dynamic CT Scan
• MRA
• MRS
• PET
• FS MRI
• Cerebrospinal fluid examination
• Endocrine evaluation
• Perimetry
• Stereotactic biopsy

How is a skull base tumor treated?

There a number of treatment options when it comes to the management of skull base tumors, such as:

• Observation
• Pharmacological therapy/medication
• Placement of a shunt
• Surgery
• Embolization
• Other therapies, such as radiotherapy and chemotherapy

Which form of treatment a patient undergoes depends on the exact tumor they have, the precise location and other factors such as the general health condition of the patient. Sometimes your doctor may suggest that you undergo a combination of treatments, in order to achieve better outcomes.

Brain tumor surgery has long been the treatment of choice when it comes to skull base tumors, with craniotomy, where the surgeon makes a small incision on the skull and tumor is removed through this, being the most common. But with the development of innovative techniques such as minimally invasive microsurgery, surgeons prefer to avoid surgery as much as possible, considering the risks involved. A shunt is long, thin tube which is placed inside you skull in order to remove excessive cerebrospinal fluid, which is collecting within the cranial cavity. This tube is connected from the brain to the abdomen, allowing the fluid to drain into the abdomen, to relieve the pressure build up within the skull.

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Best neurosurgeon doctor in gurgaon, India

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When it comes to problems related to the nervous system, which includes the brain, spinal cord and the nerves which carry impulses all throughout our body, you want nothing but the best treatment from one of the best doctors. Because the nervous system is basically like the electrical network that controls your entire body and how it functions, and when a problem arises in this system, you want to make sure that the correct treatment is given at the appropriate time, so that adverse consequences can be avoided. And for this you need a skilled and experienced doctor who can make the right diagnosis and initiate the correct treatment. Dr. Vikas Kathuria is the best neurologist in Gurgaon, a doctor who has vast experience in matters dealing with the nervous system, and his experience is exactly what you need.
Specializing in neurosurgery, Dr. Vikas Kathuria is the best neurosurgeon doctor in Gurgaon and is well known to treat many conditions of the nervous system such as tumors of the brain and spine, infections of the brain and spine, vascular surgery, stroke as well problems related to trauma of the brain and spine. Some of these conditions require you to undergo complex procedures related to the brain and spine, and this means that you run the risk of permanent damage to a part of your nervous system if the surgery is not carried out with extreme care and skill. Dr. Vikas Kathuria specializes in surgical procedures such as:

• Spinal Surgery
• Disc Arthroplasty
• Those related to head injury
• Carpal tunnel
• Those related to a Stroke
• Brain Attack
• Dementia
• Awake Craniotomy
• Pinhole surgery
• Carotid Endarterectomy
• Onyx Radio Surgery
• Open surgery

With the use of innovative treatment techniques and a team of highly skilled medical personnel Dr. Vikas Kathuria offers you the possibility of complete cure from whatever condition you may be suffering. Whether it be spinal surgery such as Minimally Invasive Lumbar Disecotmy, to correct problems related to back pain, or whether it be surgery done to relieve pressure from the region of the neck, when it comes to neck pain, or even non-surgical methods to help relieve the symptoms of the condition you may be suffering from.

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